All published prices at Prisma Health Baptist
66 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
419 | $82,844 | $11,227 | +33% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
321 | $8,812 | $1,372 | -13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
118 | $63,370 | $16,471 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
101 | $35,916 | $4,341 | +31% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
76 | $42,072 | $4,854 | +20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
72 | $16,808 | $2,352 | -14% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
68 | $15,411 | $2,442 | -13% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
63 | $38,051 | $5,462 | -4% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
63 | $17,403 | $2,739 | -9% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
62 | $25,964 | $3,233 | +9% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
59 | $86,921 | $15,981 | +5% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
57 | $26,552 | $2,996 | +29% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
55 | $48,843 | $6,059 | +23% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
50 | $17,483 | $1,723 | +35% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
49 | $37,136 | $10,536 | -14% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
49 | $23,173 | $3,396 | +12% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
48 | $20,435 | $1,659 | +80% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
47 | $22,383 | $2,891 | -4% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
46 | $24,035 | $8,494 | -42% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
39 | $27,439 | $2,781 | +35% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
38 | $59,269 | $8,652 | about average |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
36 | $16,985 | $3,147 | -25% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
35 | $42,158 | $13,048 | -26% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
34 | $25,717 | $9,216 | -31% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
33 | $116,305 | $17,847 | +45% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
31 | $32,121 | $10,357 | -34% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
27 | $34,637 | $12,244 | -35% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
26 | $43,367 | $13,838 | -39% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
25 | $44,162 | $9,126 | +13% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
23 | $42,671 | $14,087 | -44% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
23 | $35,271 | $9,649 | +7% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
23 | $31,867 | $11,384 | -43% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
23 | $7,704 | $1,376 | -10% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
23 | $23,841 | $2,687 | +31% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
22 | $26,193 | $7,277 | -19% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
22 | $30,909 | $8,597 | -18% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
21 | $25,438 | $7,189 | -17% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
21 | $150,536 | $29,520 | +16% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
21 | $12,503 | $1,635 | +6% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
20 | $102,551 | $32,191 | -42% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
18 | $65,430 | $9,448 | -3% |
|
Fainting
MS-DRG 312 · Inpatient stay |
17 | $29,521 | $7,771 | -19% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
16 | $43,786 | $10,970 | -6% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
16 | $24,055 | $7,931 | -21% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
16 | $120,427 | $20,982 | +11% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
16 | $13,747 | $1,381 | +22% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
16 | $86,839 | $18,754 | +8% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
15 | $8,207 | $1,459 | -28% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
14 | $34,351 | $7,588 | +10% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
14 | $47,138 | $12,827 | -8% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
14 | $27,349 | $9,748 | -33% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
13 | $28,796 | $8,674 | -37% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
13 | $59,293 | $14,640 | +8% |
|
Revision of Hip or Knee Replacement with Major Complications
MS-DRG 466 · Inpatient stay |
13 | $179,588 | $35,256 | -17% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
12 | $45,990 | $12,223 | -31% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
12 | $49,679 | $11,255 | -9% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
12 | $59,096 | $10,976 | +22% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
12 | $91,132 | $18,273 | +16% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
12 | $105,179 | $18,969 | +5% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
12 | $29,978 | $4,491 | +24% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
11 | $35,601 | $17,792 | -59% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
11 | $32,947 | $12,499 | -16% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
11 | $53,388 | $14,157 | -4% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
11 | $28,537 | $12,558 | -43% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
11 | $24,488 | $8,774 | -49% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
11 | $33,896 | $9,032 | -15% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.